CN110797103A - Reasonable medicine-taking monitoring system - Google Patents

Abstract

The invention provides a reasonable medication monitoring system which comprises a prescription/medical advice medication monitoring function module, a medicine clinical information consultation function module, a statistical analysis function module and a database. The safe medication monitoring system provided by the invention can intervene in time on a medication prescription in a mode of inputting the electronic prescription information of a patient to be checked and outputting the early warning information of safe medication, so that the medication safety is ensured; the monitoring modules of the safety medication monitoring system provided by the invention can work in parallel, so that the working efficiency of the system is improved, and the safety is higher.

Description

Reasonable medicine-taking monitoring system

Technical Field

The invention relates to the technical field of medicine monitoring, in particular to a reasonable medication monitoring system.

Background

The scientific and reasonable use of clinical medicines is an important prerequisite for controlling diseases and preventing medical disputes, so that the reasonable and safe medication is always the key content of the attention and quality control of hospitals. According to WHO statistics, more than 30% of global death cases are caused by unreasonable medication, and the medical resource waste behind the data is difficult to estimate. In recent years, with the increasing number of clinical medicines, the difficulty of rational and safe medication is gradually increasing.

Reasonable medication monitoring, which is based on clinical medicine knowledge base as data, takes an HIS (Hospital information System) as a patient information source and aims at examining and monitoring the aspects of drug interaction, injection compatibility, dosage, drug allergy history, contraindications, adverse reactions, repeated medication, administration routes, medication for the old, medication for children, medication for the lactation period in the gestation period and the like,

more than 50% of the drugs worldwide are reported by the world health organization to be prescribed, dispensed and sold in an inappropriate manner, while about one third of the worldwide deaths per year are due to improper medication rather than death from the disease itself. Therefore, drug safety has been a long-standing concern for all countries in the world. For investigation and analysis of unsafe medication, many medical institutions are used for prescription comment means, and the monitoring of medication safety belongs to a medication post-administration supervision type and has certain hysteresis. With the continuous improvement of the medicine level, the number and the types of clinical medicines are increased explosively, the clinical medicine application forms are diversified and developed, and the situation of safe medicine application is gradually severe, so that the medicine becomes a complex work with wider related range and higher difficulty. The medical information technology means is urgently needed to realize safe medication automatic monitoring and improve the clinical medication level.

Disclosure of Invention

The invention provides a reasonable medication monitoring system aiming at the defects of the prior art and is used for solving the problems in the prior art.

According to one aspect of the invention, a rational medication monitoring system is provided, which comprises a prescription/medical advice medication monitoring function module, a medical clinical information consultation function module, a statistical analysis function module and a database:

the prescription/medical advice medication monitoring function module is used for acquiring basic information of patients, medical advice and medical allergy history diagnosis and treatment information of a doctor and a nurse which are input in a database, judging whether medicines in a medication/prescription have any one or more of synergistic interaction, antagonistic action reduction and physicochemical reaction when medicines in the medicines have any one or more of drug effect changes according to information data about whether the medicines are excessive and conflict with each other in medication rules prestored in the database, and if so, generating early warning information about medicine conflict;

the medical clinical information consultation function module is used for reading corresponding disease information in diseases, medical records and reports, prevention and treatment information related to diseases, medical records of users and detection report information from a database according to request information of the users;

the statistical analysis function module is used for calling out a question prescription and carrying out retrospective examination according to the question prescription: to query, count and analyze according to different time periods, departments, doctors, problem types, severity levels of problems, medicines involved in problem prescriptions, etc., and/or to query and count problem prescriptions for a certain medicine, a certain patient; the use of each medicine in the problem prescription can be analyzed, and the comprehensive analysis can be carried out on each problem prescription; and can generate a report;

the system comprises a database, a medical information acquisition system and a medical information acquisition system, wherein the database is embedded with a hospital HIS system and is used for storing data information at least related to medical knowledge, medical information, medical history and reports; the medical records comprise basic information of the patient and disease information, examination results, medication information, allergy history and treatment information in the existing medical history of the patient.

Further, the clinical information consultation function module of the medicine is used for providing medicine information retrieval functions comprising medicine brief information prompt, MCDEX medicine clinical information reference, medicine specification, Chinese pharmacopoeia, patient medication education, clinical examination information reference, antibacterial medicine clinical application guiding principle, medicine common calculation formula, medicine regulation, medicine-food interaction, medicine-medicine interaction, injection in-vitro compatibility, contraindications, side effects, old people medication warning, children medication warning, pregnancy medication warning, lactation medication warning, and classification of pharmacology, indication classification, contraindications classification, adverse reactions classification and FDA pregnancy safety.

The prescription/medical advice medication monitoring function module, the medicine clinical information consultation function module or the statistical analysis function module accesses a programming interface in a database through a user request and a pre-nesting interface function, the database receives the user request and returns a result, and the receiving and displaying module displays the result to the user.

Further, an import data component with the DTS function of SQL SERVER is also included;

the import data component is used to periodically extract relevant data from the HIS database.

Further, the programming interface includes ADTECH Core, ADTECH Express, and ADTECH NameServer;

the ADTECH Express is used for calling an ADTECH Core and an ADTECH Name Server and analyzing and processing the results returned by the ADTECH Core and the ADTECH Name Server;

the DTECH Core is used for accessing and processing data in the database through an ADO data access engine contained in the DTECH Core so as to complete Core operation of monitoring and query and obtain a result;

the ADTECH Name Server is used for completing the dynamic assignment of ADTECH express calling ADTECH Core according to the load condition of the ADTECH Core.

Further, the prescription/order medication monitoring function module adopts the COM and DCOM technologies of Microsoft corporation.

Further, the prescription/medical advice medication monitoring function module generates different early warning information according to the interaction of medicines, the compatibility of injection medicines, the allergy history of medicines, the medication of children, the medication of old people, the medication of special pathophysiological states, the over-dose of medicines, the administration route and the examination of medicines of the same kind, the same type and the same component so as to prevent the influence of the medication medicines on the health degree of a patient to be examined.

Compared with the prior art, the invention has the beneficial effects that:

the safe medication monitoring system provided by the invention can intervene in time on a medication prescription in a mode of inputting the electronic prescription information of a patient to be checked and outputting the early warning information of safe medication, so that the medication safety is ensured; the monitoring modules of the safety medication monitoring system provided by the invention can work in parallel, so that the working efficiency of the system is improved, and the safety is higher.

Additional aspects and advantages of the invention will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.

Drawings

The foregoing and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:

FIG. 1 is a schematic structural diagram of a rational medication monitoring system in an embodiment of the present invention;

fig. 2 is a schematic system structure diagram of a rational medication monitoring system in an embodiment of the present invention.

Detailed Description

In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention.

In some of the flows described in the present specification and claims and in the above figures, a number of operations are included that occur in a particular order, but it should be clearly understood that these operations may be performed out of order or in parallel as they occur herein, with the order of the operations being indicated as 101, 102, etc. merely to distinguish between the various operations, and the order of the operations by themselves does not represent any order of performance. Additionally, the flows may include more or fewer operations, and the operations may be performed sequentially or in parallel. It should be noted that, the descriptions of "first", "second", etc. in this document are used for distinguishing different messages, devices, modules, etc., and do not represent a sequential order, nor limit the types of "first" and "second" to be different.

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and are not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

It will be understood by those skilled in the art that, unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the prior art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.

The Add rational medication monitoring system is a rational medication middleware product which can independently operate and can be embedded into an HIS or other patient prescription/drug management systems to operate, for example, the Add rational medication monitoring system is embedded into the HIS or other patient prescription/drug management systems, can automatically acquire basic patient information, medical orders, drug allergy history and other diagnosis and treatment information which are input by doctors and nurses in the systems, completes medication order monitoring and drug information inquiry according to the input information, provides a rational medication auxiliary function for the systems such as the HIS and the like, and does not bring the repeated work of the doctors or nurses on information input.

In order to enable the monitoring system to support the invocation of the HIS or other patient medical record management systems developed by different development platforms, the monitoring system is required to have good adaptability, stability, maintainability and expandability, so that the monitoring system has high requirements on related development technologies and system structures adopted by the monitoring system.

Examples

As shown in fig. 1, a rational medication monitoring system according to an embodiment of the present invention is provided, and includes a prescription/order medication monitoring function module a101, a medication clinical information consultation function module a102, a statistical analysis function module a103, a database a104, and a receiving and displaying module a 105:

the prescription/medical order medication monitoring function module A101 is used for acquiring basic information, medical orders and medication allergy diagnosis and treatment information of patients, which are input by doctors and nurses in the database A104, and judging whether medicines in a medication/prescription have any one or more of synergistic interaction, antagonistic effect reduction and drug effect change of physicochemical reaction according to information data about whether medication is excessive and conflicting in medication rules prestored in the database A104, if so, generating early warning information about medication conflict;

the prescription/medical advice medication monitoring function module A101 generates different early warning information according to the drug interaction, the compatibility of the injection drugs, the drug allergy history, the drug administration for children, the drug administration for the old, the drug administration for special pathophysiological states, the drug overdose, the drug administration route, and the drug examination of the same type, the same type and the same component to prevent the influence of the drug on the health degree of the patient to be examined.

A medication clinical information consultation function module A102 for reading the corresponding disease information in the disease, medical history, report, prevention and treatment information related to the disease, user medical history, detection report information from the database A104 according to the request information of the user, and for providing information including a drug brief information prompt, MCDEX medication clinical information reference, a drug instruction book, the pharmacopoeia of the people's republic of China, patient medication education, clinical examination information reference, an antibacterial clinical application guideline, a common pharmaceutical calculation formula, a pharmaceutical rule, a drug-food interaction, a drug-drug interaction, an injection in-vitro compatibility, contraindications, side effects, an elderly medication alarm, a children medication alarm, a pregnancy medication alarm, a lactation medication alarm, and a pharmacological classification, an indication classification, a contraindications classification, an adverse reaction classification, a nursing medication alarm, a medication alarm of a patient in a nursing period, and a medical classification, an indication classification, And the FDA pregnancy safety grading drug information retrieval function.

The statistical analysis function module A103 is used for calling out the question prescription and carrying out retrospective examination according to the question prescription: to query, count and analyze according to different time periods, departments, doctors, problem types, severity levels of problems, medicines involved in problem prescriptions, etc., and/or to query and count problem prescriptions for a certain medicine, a certain patient; the use of each medicine in the problem prescription can be analyzed, and the comprehensive analysis can be carried out on each problem prescription; and can generate a report;

the database A104 is embedded in a hospital HIS system, and the database A104 is used for storing data information at least including medicine knowledge, medical information, medical records and reports; the medical records include basic information of the patient and disease information, examination results, medication information, allergy history, and treatment information in the past medical history.

The receiving and displaying module A105 is used for receiving a user request, the prescription/medical advice medication monitoring function module A101, the medicine clinical information consultation function module A102 or the statistical analysis function module A103 accesses a programming interface in the database A104 through the user request and a pre-nesting interface function, the database A104 receives the user request and returns a result, and the receiving and displaying module A105 displays the result to the user.

Also included is an import data component with the DTS functionality of SQL SERVER;

the import data component is used to periodically extract relevant data from HIS database A104.

The programming interface comprises an ADTECH Core, an ADTECH Express and an ADTECH Name Server;

the ADTECH Express is used for calling the ADTECH Core and the ADTECH Name Server and analyzing and processing the results returned by the ADTECH Core and the ADTECH Name Server;

the DTECH Core is used for accessing and processing the data in the database A104 through an included ADO data access engine so as to complete the Core operation of monitoring and query and obtain the result;

the ADTECH Name Server is used for completing the dynamic assignment of ADTECH Express calling ADTECH Core according to the load condition of the ADTECH Core.

The prescription/order medication monitoring function a101 employs the COM and DCOM technologies of Microsoft corporation.

The invention is a rational medication middleware product which can be independently operated and can be embedded into an HIS or other patient prescription/drug management systems to operate, for example, the product is embedded into the HIS or other patient prescription/drug management systems, can automatically acquire the basic information of patients, medical orders, drug allergy history and other diagnosis and treatment information which are input into the systems by doctors and nurses, and can complete medication order monitoring and drug information inquiry according to the input information, thereby providing a rational medication auxiliary function for the systems such as the HIS and the like without bringing the repeated work of the doctors or nurses on information input.

In order to support the invocation of HIS or other patient drug record management systems developed by different development platforms, the invention is required to have good adaptability, stability, maintainability and expandability, so that the invention has high requirements on related development technologies and system structures adopted by the invention. The software technology of the present invention will be described in the following with respect to five aspects, such as development technology, architecture, embedding technology, upgrading scheme, technical features, etc., which are adopted by the present invention, so that you can understand the present invention integrally from the software technology level.

1. Development technique

There are many technical standards and tools that currently support the development of middleware or component products, including COM, CORBA, J2EE,. NET, etc. According to the current situation that most HIS and other patient drug record management systems in China are developed and applied under a Windows platform, the COM and Windows platform are combined with the characteristics of good integration and easy installation and release, and almost all Windows development tools can conveniently support the COM interface specification, so that the COM and DCOM technical specifications of Microsoft are adopted to develop for the core part of the invention. Later, the Add company may develop middleware for other specifications, as needed.

Com (component Object model) microsoft's component Object model is a specification that describes how to build dynamically interconvertible components. It provides some criteria to ensure that the interoperating clients and components should comply. Regardless of the language in which the component is written, the component can be called by a client program written in any language as long as the component conforms to the specification. The COM component is released in the form of Win32 Dynamic Link Libraries (DLLs) or executable files (EXEs), is completely independent of a specific development language, and is a set of standard technical specifications for software development and interaction under a Windows platform.

DCOM (distributed Component Object model) Microsoft's distributed COM is a set of Remote Procedure Call (RPC) protocols for supporting communication between distributed components. The COM system expands the related technology of COM, mainly solves the problem of processing low-level details of a network protocol on the basis of the COM system, and enables the COM to support the mutual communication between COM objects on different computers in a local area network, a wide area network and even the Internet.

Because the COM and the DCOM are a set of standard technical specifications for Windows platform application development, the invention adopting the COM and the DCOM can support the calling of HIS or patient drug record management systems developed by different development languages, and has strong expandability and adaptability. Meanwhile, the invention can achieve distributed application in physical positions, thereby meeting the requirements of hospitals with different scales and different application modes.

2. Embedding technique

The network version system of the invention needs to operate normally and play a role in monitoring reasonable medication during daily medication, and firstly, interface functions of corresponding functions are called at the place where the functions of the invention need to be called in HIS according to requirements and the embedding work is completed according to the embedded technical documents provided by the Asian corporation, so that the invention and the HIS can be seamlessly integrated into a whole.

The Add company provides a standard DLL file supporting HIS system embedding developed by adopting different languages and tools (PB, Delphi, VB, VC. NET, Java, C + + Builder and the like), complex operations such as internal result analysis, display processing, input and output information format processing and the like are packaged in the DLL, and an HIS system programmer can complete the whole embedding function only by simply calling an interface function of the DLL.

For a hospital management system developed by adopting Java language, besides nesting is completed by directly accessing a DLL provided by Java, the embedding of the hospital management system can be completed by operating a COM component at a server side through a Java-COM connection bridge JACOB.

(1) Basic embedding scheme

In order to realize the seamless connection of the HIS system in the hospital, the functions of the HIS system can be realized without excessively integrating the original HIS database and the HIS subsystem, and the integration scheme is as follows:

1) HIS system database integration

① adding two pairing tables and two views for completing data pairing of the pairing tool;

② adding a new field name (nwarn) in the prescription or order table for storing the warning color of the examination result;

③ A field name is added to the system table for storing the control label of the examination logic of the present invention.

2) HIS subsystem integration

① adding the review result warning color field of the invention in the prescription or medical order operation interface of HIS subsystem required to be embedded in the invention for displaying or saving the warning color level;

② an allergy history/illness state button is added in the prescription or medical advice operation interface embedded in the HIS subsystem of the invention for calling the management function of allergy history/illness state of the invention;

③ A right key shortcut menu for calling the drug information inquiry and review functions of the invention is added in the prescription or medical order operation interface of the HIS subsystem of the invention;

④ embed the corresponding auto audit function call code of the present invention in the HIS subsystem that requires auto recipe monitoring.

(2) Embedding provided files

In order to make the user successfully complete the whole embedding process, the company of asia provides the following relevant embedding technology documents:

1) IF invention dll: the DLL file of the invention, HIS embeds the direct interactive only file, it provides the embedding interface function for HIS, obtains the input information from HIS and transmits it into the system of the invention, and completes the result display of monitoring or inquiry, and returns the corresponding result value.

2) IF invention, dii: and D, setting parameters required by normal operation of the client side of the invention by using DIF (data interchange) related parameter configuration files of dll of the invention.

3) The invention embeds an interface manual: DIF the external interface function provided by dll of the present invention will be described in detail, and the embedding will be done by reading the document carefully and referring to the description of the document.

4) The invention debugs the running optical disk: the invention database, the invention installation program, the embedded interface demonstration program, the related supporting documents and the like are provided.

(3) Embedding process

1) The whole embedding process of the invention in HIS is illustrated as follows:

① the hospital and HIS side contact with the Asian and German company to obtain the relevant embedded data, and the two sides discuss and determine the specific application scheme of the invention in HIS and then determine the embedded scheme and the embedded details;

② Yard company will provide the user with detailed embedded documentation and installation procedures and invention data needed for the environment in which the invention operates, in the form of an optical disk;

③ perusal and understand the relevant embedding specification document with the disc before embedding;

④ before embedding, the operation environment of the present invention is established as embedded debugging;

⑤ before embedding, it also needs to establish HIS development environment to provide HIS environment for the embedded debugging of the invention;

⑥, calling related interface functions in relevant parts of the HIS according to the embedded interface description document and the specific application scheme;

⑦ embedding program compilation tests and embedding result verifications.

2) In the whole embedding process, the matters to be noted are:

① must read carefully the relevant documentation with the disc and the present invention embedded interface manual;

② installing the invention operating environment properly;

③ before the invention is operated, the invention must be registered, otherwise the invention can not be operated normally;

④ are tested to ensure the correctness of the embedding.

(4) Embedded result verification

After embedding, the correctness of the embedding result must be verified, please verify the correctness of the embedding result according to the following steps:

1) establishing a formal operation environment of the invention and the HIS;

2) testing whether the embedded interface function calling part program operates correctly and whether the logic accords with an application scheme;

3) when the HIS system embedded with the system is operated, the newly-opened case medical advice is examined, and a monitoring result interface or a warning lamp of the system appears to indicate that the examination function is embedded correctly; the corresponding result is obtained by calling the medicine information inquiry function, which indicates that the embedding of the medicine information inquiry function is correct (note that the monitoring and the medicine information inquiry need to have the corresponding correct result, the correct matching of the input medical orders, the medicine and the administration route with the medicine and the administration route of the invention must be ensured, otherwise, the expected result cannot occur).

3. Architecture

A good software system is not enough to use advanced development techniques only and must have a good system structure. The good system structure is the basis of high efficiency, stability, reliability and easy expansion and maintenance of the system operation, so the system structure of the invention is elaborately designed, and the system structure can meet both simple single-machine application and complex network application; the method can meet the requirements of traditional C/S structure application and the requirements of the B/S and multilayer distributed application which are prevalent at present.

As can be seen from FIG. 2, the invention mainly comprises two parts, namely 'interface software of the invention' and 'database of the invention' in product form, and the algorithm is separated from the data organization, so that flexible application schemes, interface display and nested interfaces can be provided for application systems in different forms (such as WEB, C/S and the like), and the data structure and algorithm of the invention can be kept relatively stable.

As can be seen from fig. 2, the HIS or other system accesses the programming interface (Express) part of the present invention in the "present invention interface software" through the nested interface function, inputs the relevant information, and accepts the returned result, and provides the corresponding result display interface to the user; the Core (Core) of the invention in the interface software accesses and processes the database of the invention through the ADO data access engine to complete the Core operation of monitoring and query, and then provides the result to the Express through the COM interface for analysis and processing. There are two ways for Express to call Core, one is that Express calls a fixed one directly. The mode is suitable for a small and medium-sized hospital application mode with only one Core in the system. The other mode is that Express calls the Name Server (Name Server) of the invention, and the Name Server of the invention dynamically connects according to the current load condition of each of a plurality of cores on the network. The mode is mainly suitable for an ultra-large hospital application mode which requires a plurality of cores to exist simultaneously to meet the operation requirement. And a plurality of database servers can exist.

The system structure not only supports single-machine version application of HIS, interface software and a database on the same machine; meanwhile, the application mode of the traditional C/S (client/server) two-layer structure of HIS and Express on a client and Core and a database on a server is supported; the three-layer structure application mode that HIS and Express are arranged on a client, Core is arranged on one server, and a database is arranged on the other server is also supported; and even the complex distributed application mode that HIS and Express coexist in a client, a plurality of Core servers and a plurality of database servers can be supported, and dynamic load balancing is realized. The invention embodies flexible and changeable application modes from the system structure, can meet the application requirements of hospitals of various scales, and has advanced, stable and reliable technology, strong flexibility and expansibility in the whole system structure.

(1) Interface software of the invention

The interface software of the invention is composed of three parts of Core, Express and Name Server in general.

The Core directly accesses and processes the database, provides Core functions of service logic layers such as basic monitoring, inquiring and safety service without a display interface, and encapsulates a Core algorithm of monitoring and inquiring; meanwhile, the same access interface is kept for different forms of Express, and the management of system versions and the upgrading maintenance of core algorithms are facilitated.

Express functions to provide different forms of presentation layer functionality depending on different applications and interface presentation requirements. The system can exist in different forms such as OCX control, DLL, HTML API, XML API, Web Service and the like. Express secondarily encapsulates Core complex COM interfaces and data structures, and provides simpler nested interface functions for HIS or other systems; acquiring relevant input information from the HIS or other systems through a nested interface function, organizing and processing the input information into a data structure which can be identified by the Core, transferring the information to the Core to complete monitoring and query operation by calling a COM (component object model) interface provided by the Core, finally carrying out corresponding analysis processing on monitoring and query results returned by the Core, and returning and displaying the monitoring and query results to a calling interface and a user.

The Name Server is a scheduling processing program supporting dynamic load balance and is mainly used for ultra-large hospitals. The method has the main function of completing Express calling Core dynamic assignment according to the load condition of each Core on the network, and achieves the purpose of dynamic load balancing.

(2) Database with a plurality of databases

In order to ensure the relative independence and stability of the monitoring and inquiring core algorithm and the data information and further improve the application flexibility of the invention, the data information of the invention is independently stored according to a certain organization structure by adopting a relational database technology. The method not only supports a desktop Access database system, but also supports large database systems such as Oracle, MS SQL Server, Sysbase, DB2 and the like.

The separation of the database and the interface software ensures the relative stability of the data structure and the algorithm of the invention, and provides strong flexibility and operation simplicity for the implementation and data upgrade of the system. If the display interface or the display rule is changed, only the corresponding Express part needs to be upgraded; if the monitoring and inquiring business rule or algorithm changes, only the Core part needs to be upgraded; if the data changes or is upgraded, the data upgrading tool provided by the Add company is used, and the data of all workstations on the whole network system can be upgraded only by publishing new data to the database on the database server.

(II) application scheme

1. The invention relates to the design of the overall application scheme

(1) The HIS system is embedded into a hospital outpatient doctor workstation, an inpatient nursing workstation, an outpatient medicine dispensing workstation, an inpatient medicine dispensing workstation, a venous transfusion preparation center and the like to provide the following functions:

1) automatic real-time examination function for patient prescription

2) Medicine information online inquiry function

3) Statistical analysis function of problem medical advice

(2) The present invention provides in a stand-alone program (usable directly without embedding):

1) general audit and drug information query functions

2) Drug pairing function

2. The invention relates to a specific application scheme design

(1) By embedding the hospital HIS system, the invention provides an automatic and real-time examination function for patient prescriptions, and examination items comprise:

checking the medicines, including checking the interaction between the medicines and checking the in vitro compatibility of the injection;

drug and disease condition review, including drug contraindication and disease condition review, drug side effect and disease condition review, drug allergy history review;

drug administration examination of special populations, including drug examination for the elderly, drug examination for children, drug examination for pregnancy, and drug examination for lactation;

the examination of the usage and dosage includes the examination of the drug and the administration route, the examination of the drug formulation and the administration route, the examination of the drug dosage and the examination of repeated medication.

(2) By embedding the HIS system of the hospital, the invention provides the function of on-line inquiry of the medicine information, and the inquiry items comprise:

drug clinical information reference query

Drug specification information query

Patient medication education information query

Pharmacopoeia information query of people's republic of China

Check value information query

Drug-drug interaction information query

Drug-food interaction information query

Inject external compatibility information inquiry

Contraindication information query

Side effect information query

Medication warning information query for children

Old age medication warning information query

Pregnancy medication warning information query

Warning information inquiry of medicine taking in lactation period

Brief prompt information inquiry for forbidden use of medicine

Antibacterial drug clinical application guiding principle query

Medical calculation formula query

Medical law query

Rational medicine and informatization query

(3) The examination result statistical analysis program of the invention provides the analysis and management functions of reasonable medication for hospitals:

the invention can reproduce the problem prescription, carry out retrospective examination and query of the problem prescription, and carry out query, statistics and analysis according to different time intervals, departments, doctors, problem types, problem severity levels, medicines related to the problem prescription and the like; the problem prescription can be inquired and counted according to a certain medicine and a certain patient; the use of each medicine in the problem prescription can be analyzed, and the comprehensive analysis can be carried out on each problem prescription; and can generate reports.

Second, the invention clinical pharmacy management system software technical scheme

The clinical pharmacy management system reads relevant data of the HIS through a standard data interface and works by combining with a prescription examination database.

The PHARM system can adopt an imported data component which establishes a view in the HIS database or directly adopts the DTS function similar to SQL SERVER of the PHARM system, and periodically extracts related data from the HIS database, wherein all the data are extracted in a read-only mode, so that the influence on the HIS system is avoided to the maximum extent. The data read from the HIS database is only limited to basic data meeting the related functions of the PHARM system and does not relate to other data of the HIS system. Once the relevant data is read, the PHARM system releases the connection with the HIS database, and other functions independently operate on the basis of the database of the PHARM system and the core audit database of the invention. It is emphasized that the present invention needs to be associated with the PHARM system, so that the PHARM system can review the medication rationality of the prescription of the medical advice after reading the prescription with the set conditions, and perform on-line drug information query (such as drug brief information prompt, drug instruction book, clinical medication information reference monograph, etc.); namely, the function realization of the PHARM system needs to be operated on the basis of the application of the invention. The PHARM system provides a multi-patient batch monitoring function, the function is convenient for professional persons such as clinical pharmacists to perform batch monitoring on a large number of patients, the working efficiency is effectively improved, and the pressure on the server is high when the function is executed, so that Add company recommends that when the PHARM system is applied, a server which is independently used for the monitoring and counting functions of the PHARM system is arranged, and the server can be an independent server or a high-performance PC used together with the PHARM system.

Secondly, the invention relates to a software design scheme of an antibacterial medicine grading management system

The antibacterial medicine grading management system reads relevant data of the HIS through a standard data interface or works in combination with a prescription examination database. The antibacterial drug grading management system extracts relevant data from the HIS database, and all the data are extracted in a read-only mode, so that the influence on the HIS system is avoided to the maximum extent. The data read from the HIS database are only limited to basic data meeting the relevant functions of the antibacterial drug grading management system and do not relate to other data of the HIS system. Once the relevant data is read, the antibacterial medicine grading management system releases the connection with the HIS database, and other functions can be independently operated on the basis of the database and the core examination database of the antibacterial medicine grading management system. The antibacterial medicine grading management system firstly obtains doctor and medicine information through the maintenance tool and maintains the grade attributes of the doctor and the medicine antibacterial medicines. Transferring an interface function of the antibacterial medicine grading management system at a doctor station, transmitting information of the doctor and the medicine, logically processing whether the medicine is an antibacterial medicine or not, and judging whether the current doctor is unauthorized or not; and presenting the judgment result in a pop-up dialog box form, and processing whether to override or not.

Detailed description of the invention

Prescription (medical advice) medication monitoring function

The invention can automatically and real-timely inspect and monitor potential unreasonable medication problems such as drug interaction, allergic drugs, injection liquid external compatibility, usage amount, contraindications, side effects, repeated medication, medication routes, special population medication and the like which may exist in the medical advice of the drugs after the input of the prescription drugs is finished, and prompt the monitoring result information to doctors or pharmacists, so that the doctors can better consider medication schemes and prevent medication risks, thereby achieving the purpose of reasonable medication.

Meanwhile, the invention also provides a user-defined function of the examination mode. According to different requirements, the user can set which examination items, examination levels and adopted document scope need to be opened in the prescription examination.

1. Drug interaction monitoring

This function suggests pharmacological effects that may occur when two drugs are administered to the same patient simultaneously or at intervals.

The system provides detailed general monographs for each class of drug interactions, including the severity of the drug interaction, mechanism of action, patient management, discussion, and literature references.

The invention totally collects the interaction data of more than 370 pairs of medicines, and covers 19,027 universal medicines and 527,870 medicine names.

2. Drug allergy history review

The function is to prompt the patient whether the medicine related to the previous allergic medicine of the patient possibly causing similar allergic reaction exists in the medicine prescription of the patient on the basis of acquiring the previous allergic medicine information of the patient. The module data contains indications of all possible allergy drugs of component allergy, basic component allergy, atopic group and cross-allergic group of the drugs.

The drug allergy history review data module of the invention totally records 55,218 types of allergens, 585 types of specific allergy groups and 528 types of cross allergy groups, and covers 9,618 types of universal drugs.

3. Inspection of compatibility of injection drugs

Comprises two parts of 'domestic injection compatibility examination' and 'foreign injection compatibility examination'.

(1) Domestic inspection of compatibility of injections

The functional module prompts the possible in-vitro compatibility problem among prescription medicines which are infused simultaneously according to domestic literature data of injection compatibility. The module includes reviews between injection drugs and menstruum.

The invention totally contains 163,802 in vitro compatibility research records of 2,109 injection medicines and 90 multiple solvents, and each record provides the provenance and the compatibility information abstract of the reference literature.

According to different data sources, domestic injection compatibility data is divided into four literature types, namely journal literature, authoritative books, medicine specifications, compatibility tables and the like. The user can set the document categories and priorities to participate in the review as desired.

(2) Inspection of compatibility of injections

The functional module adopts the most authoritative basic database of intravenous medication in the United states to prompt possible in vitro compatibility problems among prescription drugs which are infused simultaneously.

The invention totally contains the record of 8,725 external compatibility experiments between 294 general drugs for injection and 249 solvents. Meanwhile, according to different compatibility modes, data are divided into a plurality of different types such as 'infusion compatibility' (including 'drug-solvent compatibility' and 'drug-drug additive compatibility') and 'needle tube compatibility' for monitoring.

4. Drug dose review

The function can not only prompt the overdose problem of the prescription medicine, but also prompt whether the prescription dose of the prescription medicine exceeds the daily common dose range or the maximum dose standard, and can also check the medication frequency (including the administration frequency of the injection medicine and the solvent thereof), the administration duration and the like. The invention includes 16,599 pieces of drug dose audit data, covering 5,846 universal drugs and 11,153 universal drug groups with dosage forms.

5. Examination of contraindications

The function prompts whether the prescription medicine has contraindications related to the sick and sick state of the patient. The invention includes 19,897 pieces of contraindication examination data, covering 2,303 general medicines and 117,071 medicine names.

6. Examination of adverse effects

This function prompts whether the prescribed drug has side effects associated with the patient's condition. The invention includes 26,876 pieces of side effect examination data, covering 7,159 universal medicines and 72,062 medicine names.

7. Review of repeat medication

Two functional modules of 'repeated component examination' and 'repeated treatment examination' are included.

Review of repeat Components

Prompting the patient whether two or more drugs in the prescription have the same pharmaceutical composition may present a repeat dosing problem. The invention includes 15,254 pieces of repeated component examination data, covering 6,539 universal medicines and 96,165 medicine names.

Repeat treatment review

The patient is prompted whether two or more drugs in the prescription belong to a certain drug treatment category, and the problem of repeated drug administration may exist. 72,037 pieces of repeated treatment review data are recorded, covering 2,410 common medicines and 53,076 medicine names.

8. Examination of administration route

Two functional modules of 'dosage form-administration route examination' and 'drug-administration route examination' are included.

Dosage form-route of administration review

This function suggests a possible mismatch between dosage form and route of administration in the prescribed drug. The present invention includes 16,080 pieces of formulation-route of administration review data.

Drug-administration route review

This function suggests whether the prescription is for use of the drug in an inappropriate route of administration. The present invention includes drug-administration route review data 675.

9. Drug administration examination for special population

Including "inspection of medicine for the elderly", "inspection of medicine for children", "inspection of medicine for pregnancy", and "inspection of medicine for lactation".

(1) Drug examination for old people

The function prompts whether medicines which should be contraindicated or used cautiously for the old exist in the prescription medicines when the patient is the old (whether the patient is related to the sick and sick state can be selected according to the age of the patient and the age setting condition of the old in a segmented way). 1,037 pieces of medicine examination data for the old are recorded, and 1,034 general medicines and 77,880 medicine names are covered.

(2) Examination of medicine for children

This function suggests whether or not there are drugs in the prescription drug that may not be suitable for children to use when the patient is a child (as judged by the patient's age). The invention includes 1,658 pieces of medicine use examination data for children, covering 3,116 general medicines and 91,078 medicine names.

(3) Pregnancy medication review

The function prompts whether the medicine which is not suitable for being used in the gestational period exists in the prescription medicine when the patient is a pregnant woman (judged according to the patient sick and born state information). The invention collects 3,732 pregnancy medication audit data, covering 9,076 general medicines and 156,841 medicine names.

(4) Medicine for lactation period

The function indicates whether the medicine which is not suitable for nursing is present in the prescription medicine when the patient is a nursing woman (judged according to the patient sick and wounded state information). The invention records 2,148 pieces of medicine data for lactation, and covers 5,282 universal medicines and 67,191 medicine names.

(II) clinical information consultation function of medicine

The invention provides an online inquiry function of medical related professional information. The invention contains 257,293 medicine names, covers 35,198 general medicines, wherein 16,565 western medicines (chemical medicines), 11,311 Chinese patent medicines, 7,322 Chinese herbal medicines and 330 other medicines (including biological products, preparations, bulk drugs and the like).

1. Brief information prompt function of medicine

When each medical advice medicine is input, the method can automatically pop up the brief information floating window. The purpose of the brief information function module is to present important safety information of the medicine to a user in time in a concise and brief floating window form for reference of clinical medication. The content of the brief information is defined as part of important medication safety information, such as contraindications, pregnancy/lactation, skin tests, special warnings and the like, and a user can set the display mode of the brief information in a self-defining way. The invention has 3,793 pieces of common medicine brief information, which covers 5,494 common medicines, 91,213 medicine names, and the range of medicine varieties mainly comprises national basic medicines, medicines commonly used in hospitals and part of medicines newly sold in the market.

The brief information prompt is divided into two parts of 'invention information' and 'hospital medicine information', wherein the 'invention information' is the medicine safety content defined by the system; the 'hospital medicine information' can be customized according to the requirements of the hospital, and the hospital can maintain the 'hospital medicine information' by self, so that doctors can prompt relevant contents of the medicine information in the hospital in time.

2. Medicine instruction book

a) The present invention provides a pharmaceutical specification for the national food and drug administration (SFDA) approved and issued national drug standards.

b) The invention has collected 39,529 package specifications covering 9,842 groups of general drugs, 174,149 drug names.

3. Reference to clinical information of medicine (professional clinical medication guide, not science popularization article)

c) All the monographs of the medicine "MCDEX medicine clinical information reference" are included in the whole text.

The MCDEX medicine clinical information reference (the 09 edition is named as MCDEX Chinese doctor and pharmacist clinical medication guide) is the latest clinical medication reference data jointly compiled by China medical association, China medical pharmacist association, national food and drug administration drug evaluation center and Asia-Germany company of the national institutes of health and drug administration) and is regularly updated and published every three years, and the updated content is synchronously collected into the database.

The invention has synchronously recorded all the patent treatises of the medicament in 2009 (guide for clinical medication of MCDEX chinese physicians and pharmacists).

d) The clinical information of the medicament of the invention refers to and provides a clinical use information monograph of the medicament, and the content comprises information such as various names, components, pharmacology, clinical application, cautionary matters, adverse reactions, interaction, administration instructions, usage and dosage, preparations and specifications of the medicament. The discussion of the monograph is more detailed and more actual than the instruction of the medicine, and has professional guidance for clinical medication.

e) The invention has collected 4,290 monographs of 'clinical information reference of medicine', covering 6,094 universal medicines and 153,184 medicine names.

4. Pharmacopoeia of people's republic of China

The invention has been collected in the electronic edition of the national drug dictionary 2005 of the people's republic of China.

5. Medicine application education for patients

f) The patient medication education of the invention is clinical medicine data which is specially compiled according to the requirement of doctors and pharmacists for developing the patient medication consultation service work and aiming at improving the medication compliance of patients. According to the characteristics of each medicine, the control key points of reasonable medication are highlighted in popular and easy-to-understand languages, and the indications, possibly-occurring adverse reaction symptoms, medication methods, medicine interaction and influence thereof, treatment methods when the medicine is overdosed and missed, the identification of the storage and deterioration of the medicine and the like of the medicine are described in detail.

g) The invention contains 1,669 monographs of 'medicine education for patients' and covers more than 2,814 groups of general medicines.

6. Clinical test information referencing

The clinical examination information reference includes the monograph of the clinical examination project, which is compiled by referring to the relevant authoritative data at home and abroad, the content covers the basic information (brief introduction, name, examination combination, etc.) of the clinical examination project, the information of the normal reference value, result, clinical significance (correlation with diseases and medicines), sample preparation and collection, caution items, principle, method and operation, etc., and provides a comprehensive and accurate examination information data source for clinical staff. The medical diagnosis and treatment system comprises 10 major 359 pieces of clinical examination value information of a medicament in treatment monitoring, gene diagnosis technology, hematology examination, blood biochemical examination, immunology examination, endocrinology examination, cerebrospinal fluid examination, urine examination, other secretion and excretion examination, tumor-related examination and the like.

7. Guidelines for clinical application of antibacterial agents

The principle is jointly issued by the ministry of health of the people's republic of China, the national administration of traditional Chinese medicine, and the ministry of health of the people's liberation army of China in 2004 within 10 months, and the main contents comprise: basic principles of clinical application of antibacterial drugs, management of clinical application of antibacterial drugs, indications and cautions of various antibacterial drugs, treatment principles of various bacterial infections and the like. In addition, more than 20 antibiotic application guidelines from various places are included.

8. Common formula for calculating medicine

Including 95 commonly used calculation formulas of cardiology, pulmonology, nephrology, hematology, neurology, pediatrics, gynecology, burn fluid replacement formula, various electrolyte and fluid replacement formulas, administration body weight and body surface area conversion formula, basal metabolism calculation formula, insulin dosage calculation formula, etc.

9. Medical legislation

The 664 medical laws and regulations issued by the nation on the aspects of medical institution management, medicine management, medical instrument management, medical accident management, infectious disease control, health quarantine, food sanitation, traditional Chinese medicine regulations, intellectual property protection and the like are included.

10. Drug classification query and keyword free search

The built-in search engine provides drug information inquiry in different classification modes such as pharmacological classification, indication classification (including common clinical diagnosis), contraindication classification (the inquiry of drugs which are inapplicable to common clinical diagnosis, such as hypertension, diabetes, cardiac insufficiency, hepatic insufficiency, renal insufficiency and the like), FDA pregnancy safety classification and the like; and the related information of the medicine can be freely retrieved through different keywords such as medicine names, indications, contraindications, adverse reactions, interaction and the like. And supporting the inquiry methods of trade names, common names, English names, Latin names, Chinese pinyin abbreviations and the like.

11. Drug specific information query

The individual drug may be queried for specific data information related to the subject invention audit project.

Drug-drug interactions

Drug-food interaction

Compatibility of domestic injection

Compatibility of foreign injection

Contraindication

Side effects

Medicine for old people

Medicine for children

Medicine for gestation period

Medicine for lactation period

Besides, the invention can still provide the following medical information query functions:

12. drug test value

a) The drug test value change information of the invention refers to the possible change of clinical test value of a patient after using a certain drug. This information helps the physician to eliminate the effect of the drug on the test value, to correctly diagnose the condition of the disease, to analyze the progress of the condition of the disease, and to assist in the adjustment of clinical medication regimens.

b) At present, the test value module of the invention contains test value change information of 9,558 general drugs on five major items such as urine test, feces test, blood biochemical test, hematology test, immunology test and the like and 71 minor items (which belong to five major items).

13. Rational medication and informatization

The method includes the literature reports of reasonable medicine research literature at home and abroad, the informatization development of the reasonable medicine in hospitals, the application condition of the method in the hospitals and the like in 2001-2007.

(III) statistical analysis function

The invention can provide comprehensive statistical analysis function of the medicine monitoring result, and the hospital can inquire and reproduce, retrospective examination and comprehensive statistical analysis of the monitoring result of the patient medicine prescription within any condition range of department, doctor, medicine, time, monitoring project, monitoring grade and the like according to the requirement, and provide the basic data of the medicine administration management of the hospital for relevant departments of the hospital.

The invention can perform the query, statistics and analysis on the problem prescription of the following items:

1. selecting the range of the problem prescription according to the time period required to be inquired and counted;

2. the invention monitors the detailed list of the result problem;

3. inquiring and counting the monitoring result according to the monitoring type;

4. inquiring and counting the monitoring result according to the warning level; (the classification of the problem medical advice of the invention not only has the type of problem occurrence, but also has the warning of the severity level, namely, each type of problem can be counted according to the warning levels of black, red, orange and yellow.)

5. Inquiring according to the department and counting the monitoring result (according to the monitoring type);

6. inquiring according to the department and counting the monitoring result (according to the warning level);

7. inquiry by doctor and statistics of monitoring result problem (by monitoring type)

8. Inquiry by doctor and statistics of monitoring results (by alert level)

9. Inquiry according to medicine and statistic monitoring result problem (according to monitoring type)

10. Inquiry according to medicine and statistic monitoring result problem (according to warning grade)

Each problem can be traced to the original prescription information, the information of the basic condition, diagnosis and inspection information, all medicines in the prescription and the like of the patient can be checked, and the detailed information of the monitored problems can be conveniently analyzed and evaluated by a pharmacist. And the report exporting and printing functions are provided.

Fourth, the detailed functional description of the clinical pharmacy management system of the invention

Prescription (order) review

Clinical pharmacists can read and view relevant management information of patients from the HIS system according to the screening conditions of patient types (inpatient, outpatient), patient IDs/names, departments, doctors, diagnoses, and the like through the working platform of the clinical pharmacy management system. The related information mainly includes:

medical record: the basic information, diagnosis and other basic conditions of the patient can be known in time;

ordering: the medication condition and treatment measures of the patient can be mastered quickly;

and (4) checking and checking results: including laboratory examination results and imaging examination results of patients;

operation information: including information such as the name of the procedure, the type of incision, etc.

(II) prescription (medical advice) comment

1. Retrospective review of prescriptions

The clinical pharmacy management system provides two examination modes of single-patient examination and multi-patient batch examination, and can only examine the prescription (medical order) of a selected patient, and can also examine the medication prescription (medical order) of a batch of patients selected according to certain specific conditions, such as all patient prescriptions (medical orders) of a department, a ward or a doctor, and the like. Currently available censoring content is: the medicine interaction, the external compatibility of injection, repeated administration, the administration dosage, the administration route, the medicine allergy history, the medicine contraindication, the medicine side effect, the medicine for the old, the medicine for the children, the medicine for the gestation period, the medicine for the lactation period and the like.

2. Prescription information inquiry

The information query function can be accessed by right-clicking the name of the medicine, the corresponding information module can be selected for targeted query, and the information center can be directly accessed for full-database search.

Currently available query contents are: a plurality of items such as a brief medicine information prompt, an MCDEX medicine clinical information reference, a medicine instruction book, the pharmacopoeia of the people's republic of China, patient medication education, a clinical examination information reference, an antibacterial medicine clinical application guiding principle, a medicine common calculation formula, a medicine regulation, a medicine-food interaction, a medicine-medicine interaction, injection in-vitro compatibility, contraindications, side effects, an old people medication warning, a children medication warning, a pregnancy medication warning, a lactation medication warning and the like; also provides the function of drug information retrieval in different classification modes such as pharmacology classification, indication classification, contraindication classification, adverse reaction classification, FDA pregnancy safety classification and the like.

3. Prescription (medical advice) evaluation

The clinical pharmacy management system carries out standardization and quantitative management on 28 evaluation points specified in hospital prescription comment management specifications (trial implementation), provides an evaluation function for prescription auditing results for clinical pharmacists, and can evaluate a plurality of conditions such as writing formats of prescriptions, the number of prescription drugs, usage amount, indications, contraindications, administration methods and the like, so that the clinical pharmacy management system can complete comment work quickly and effectively. Meanwhile, the system can also store the evaluation results in a computerization mode so as to count and analyze the prescription evaluation results. After the prescription (medical advice) is commented, the system can grade the severity of the problem of the evaluated prescription according to the commenting content of a clinical pharmacist, the evaluated prescription is divided into a reasonable prescription and an unreasonable prescription, the unreasonable prescription also comprises an irregular prescription, an improper prescription for medication and an extraordinary prescription, the clinical pharmacist and the doctor can conveniently and deeply analyze and research the prescription medication, and effective data reference is provided for providing medical service quality and saving medical cost.

(III) clinical application investigation of antibacterial drugs

The clinical pharmacy management system intelligently judges the types of patients (operation patients, non-operation patients and the like) according to the patient information extracted from the HIS system according to relevant regulations in antibacterial clinical application monitoring schemes of Ministry of health, and automatically generates a series of electronic forms such as 'operation/non-operation patient antibacterial use condition questionnaires'. Meanwhile, after the series of questionnaires are filled, the system can generate a medicine use reasonability suggestion table with the summary property according to the filled questionnaires, so that a large amount of time and energy spent by clinical pharmacists on reading paper medical records are saved, manual mistakes are avoided, and the working efficiency is greatly improved.

At present, the questionnaire contains: basic condition of patient, diagnosis, laboratory examination, imaging diagnosis, clinical symptoms, medication purpose, medication condition, treatment result, medication rationality evaluation, remarks, etc.

(IV) evaluation of perioperative antibacterial drug use

According to the related spirit and requirements in ' notice of clinical application management related problems of antibacterial drugs in office of Ministry of health ', ' the clinical pharmacy management system provides an evaluation function aiming at the using condition of the antibacterial drugs in perioperative period, and can evaluate various conditions of the antibacterial drugs in perioperative period, such as variety, administration route, usage amount, indications, contraindications and the like. The system also focuses on generating a working table of the use conditions of the related antibacterial drugs aiming at the I-type and II-type surgical incisions, so that a clinical pharmacist can timely and effectively master the conditions of using the antibacterial drugs for the perioperative period of the whole hospital, and can conveniently intervene the unreasonable medication conditions in time, thereby improving the overall medical level of the hospital.

The currently available reports include: perioperative preventive medication evaluation worksheet; summary of perioperative preventive medication in type I and type II incision surgery; a statistics table of medication problems for prevention in perioperative period, etc.

(V) writing electronic calendar with medicine

The clinical pharmacy management system can provide the function of writing an electronic medical record for clinical pharmacists. The system achieves the rapid generation of an electronic medical record directly by extracting the required patient information from the HIS system. The clinical pharmacist may also modify inappropriate information by analyzing the details of the patient, and may add various work records regarding the patient's medication. The electronic calendar function of the PHARM reduces the complex work of manually extracting the patient information of a clinical pharmacist, and effectively improves the working efficiency.

(VI) statistics of clinical medication

1. Prescription evaluation table

The clinical pharmacy management system can standardize and quantitatively store evaluation points according to the evaluation of a clinical pharmacist on a problem prescription in a prescription evaluation function, count and analyze the prescription of a clinically significant potential medication problem, and automatically generate the following report:

1) commenting a worksheet;

2) a comment result statistical table (which can be respectively counted by departments and doctors);

3) and (4) a comment question statistical table (which can be respectively counted by departments and doctors).

2. Statistics of antibacterial drug use

According to the requirements on the prescription in the antibacterial clinical application guideline, the clinical pharmacy management system can automatically provide detailed reports for the administration management of the antibacterial drugs in hospitals according to the prescription conditions, so that the hospitals can conveniently formulate the relevant regulations of the antibacterial clinical application management, and the clinical reasonable administration management work of the antibacterial drugs is perfected.

1) A non-operative patient medication rationality opinion list;

2) a medical rationality opinion list for surgical patients;

3) a medication rationality opinion table for thyroid surgery patients;

4) a breast surgery patient medication rationality opinion list;

5) a medicine rationality opinion table for patients with abdominal external hernia;

6) a questionnaire of the prescription medication conditions of the outpatient clinic; 100 prescription statistical analysis tables;

7) antimicrobial drug consumption condition questionnaire for annual inpatients

8) A questionnaire of the use condition of the anti-bacterial drugs in the outpatient clinic prescription; n-piece prescription antibacterial medicine usage statistical analysis table

9) A questionnaire of the use condition of the antibacterial drugs of the discharged patients; statistical analysis table for antibacterial drug use of N discharged patients

10) A questionnaire of the use condition of the antibacterial drugs for the inpatients; statistical analysis table for use of N antibacterial drugs for inpatients

11) A hospital antibacterial drug consumption condition questionnaire; statistical table for using condition of hospital antibacterial drug categories

12) A questionnaire of the consumption condition of the antibacterial drugs in the department; department antibacterial drug class use condition statistical table

13) A questionnaire of the consumption condition of the antibacterial drugs of the doctor; statistical table for use condition of antibacterial drug classes of doctors

14) Monthly department consumption antibacterial drug amount statistics

15) Statistical table of certain antibacterial drug use (DDDs/thousand days)

16) A schedule of prophylactic/therapeutic use of antibacterial agents; statistical table of antibacterial drug conditions for preventive/therapeutic use

17) The therapeutic effect of a certain disease and the use condition of the antibacterial agent are detailed; a statistical table of the treatment effect of a certain disease and the use condition of the antibacterial agent; the effect of different doctors on treating a certain disease is compared with the cost analysis of using antibacterial drugs

3. Perioperative antibacterial drug use statistics

1) Perioperative preventive medication evaluation worksheet;

2) summary of perioperative preventive medication in type I and type II incision surgery;

3) a perioperative preventive medication problem statistical table;

4. statistics of other medication

According to the requirement on the prescription in the prescription management method, the clinical pharmacy management system can automatically generate the following report according to the condition of the prescription in the hospital, so that a detailed report is provided for the medication management of the hospital, and the daily work of clinical pharmacists is greatly facilitated.

1) Ranking the total amount of medicine (which can be counted according to the hospital medicine, antibacterial medicine and Chinese patent medicine respectively);

2) ranking doctors for the amount of medicine to be used (which can be counted respectively according to the hospital medicine, the antibacterial medicine and the Chinese patent medicine);

3) the department ranks the medicine use amount (the amount can be counted according to the hospital medicine, the antibacterial medicine and the Chinese patent medicine respectively);

4) ranking the total drug use cases (which can be counted according to the hospital drugs, antibacterial drugs and Chinese patent drugs respectively);

5) the medicine usage is ranked by doctors (can be counted respectively according to hospital medicines, antibacterial medicines and Chinese patent medicines);

6) the medicine usage is ranked by departments (the statistics can be respectively carried out according to the hospital medicine, the antibacterial medicine and the Chinese patent medicine);

7) statistics of more than N medicines in a single prescription in an outpatient and emergency department;

8) statistics that the single prescription charge of the outpatient and emergency treatment exceeds N yuan.

4. Invention censoring result statistics

The clinical pharmacy management system can count the monitoring results of the invention, can track the original information of the patient, such as basic information, diagnosis information, medical advice and medication list and the like of the patient, and is convenient for a pharmacist to analyze and evaluate. After the range of the problem prescription is selected according to the time period required to be inquired and counted, the following unreasonable medication problems can be counted:

1) the invention monitors the result and makes the medicine statistical table (according to the monitoring type);

2) the invention monitors the result of the medicine statistics table (according to the warning level);

3) the invention monitors the detailed list table of the problem of the result;

4) the invention monitors the problem statistical table of the result (according to the monitoring type);

5) the invention monitors the result problem statistical table (according to the warning level);

6) according to the invention, the monitoring result is a statistical table of all department problems (according to the monitoring type);

7) according to the invention, the monitoring result is a statistical table of all department problems (according to the warning level);

8) according to the invention, the monitoring result is shown in a statistical table of problems of doctors (according to the monitoring type);

9) the invention monitors the results and gives a statistical table of the problems of each doctor (according to the warning level).

Fifth, the invention antibacterial medicine grading management system detailed function description

The invention divides the antibacterial drugs into three types of non-limited use, limited use and special use according to the factors of the action characteristics, the curative effect and the safety of various antibacterial drugs, the price of the drugs and the like. Clinical pharmacists can provide humanized functions according to three use categories of antibacterial drugs:

1. clinicians may prescribe unlimited use of antimicrobial drugs based on diagnosis and patient condition.

2. When the patients need to use the antibacterial drugs, the doctors can only prescribe the drugs by the staff qualified by the professional technical staff.

3. The disease condition of the patient needs to be prescribed by a chief physician who has the qualification of professional job and duties when the patient needs to use special antibacterial drugs.

4. In emergency, according to the medicament indication or the adaptive population, the clinician can override the antibacterial medicament with the authority, but only use the antibacterial medicament for 1 day, and if the antibacterial medicament needs to be used continuously, the clinician needs to handle the relevant approval procedures.

In the embodiments provided in the present application, it should be understood that the disclosed systems, modules and/or units may be implemented in other ways. For example, the above-described method embodiments are merely illustrative, and for example, the division of the modules is only one logical functional division, and other divisions may be realized in practice, for example, a plurality of modules or components may be combined or integrated into another system, or some features may be omitted, or not executed. The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.

The foregoing is only a partial embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.

Claims (7)

1. A rational medication monitoring system is characterized by comprising a prescription/medical advice medication monitoring function module, a medical clinical information consultation function module, a statistical analysis function module and a database:

the prescription/medical advice medication monitoring function module is used for acquiring basic information of patients, medical advice and medical allergy history diagnosis and treatment information of a doctor and a nurse which are input in a database, judging whether medicines in a medication/prescription have any one or more of synergistic interaction, antagonistic action reduction and physicochemical reaction when medicines in the medicines have any one or more of drug effect changes according to information data about whether the medicines are excessive and conflict with each other in medication rules prestored in the database, and if so, generating early warning information about medicine conflict;

the medical clinical information consultation function module is used for reading corresponding disease information in diseases, medical records and reports, prevention and treatment information related to diseases, medical records of users and detection report information from a database according to request information of the users;

the statistical analysis function module is used for calling out a question prescription and carrying out retrospective examination according to the question prescription: to query, count and analyze according to different time periods, departments, doctors, problem types, severity levels of problems, medicines involved in problem prescriptions, etc., and/or to query and count problem prescriptions for a certain medicine, a certain patient; the use of each medicine in the problem prescription can be analyzed, and the comprehensive analysis can be carried out on each problem prescription; and can generate a report;

the system comprises a database, a medical information acquisition system and a medical information acquisition system, wherein the database is embedded with a hospital HIS system and is used for storing data information at least related to medical knowledge, medical information, medical history and reports; the medical records comprise basic information of the patient and disease information, examination results, medication information, allergy history and treatment information in the existing medical history of the patient.

2. The rational medication monitoring system of claim 1, wherein the medication clinical information consultation function module is configured to provide medication information retrieval functions including drug profile information prompts, MCDEX medication clinical information references, drug specifications, the pharmacopoeia of the people's republic of china, patient medication education, clinical laboratory information references, guidelines for clinical application of antibacterial drugs, common pharmaceutical calculation formulas, medical regulations, drug-food interactions, drug-drug interactions, injection in vitro compatibility, contraindications, side effects, warnings of medication for the elderly, warnings of medication for children, warnings of medication for pregnancy, warnings of medication for lactation, and ratings of pregnancy safety by pharmacology, classification of indications, classification of contraindications, classification of adverse reactions, FDA.

3. The rational medication monitoring system of claim 1 or 2, further comprising a receiving display module for receiving a user request, wherein the prescription/order medication monitoring function module, the medication clinical information consultation function module, or the statistical analysis function module accesses a programming interface in a database via a user request and via a pre-nested interface function, wherein the database receives the user request and returns a result, and wherein the receiving display module displays the result to the user.

4. The rational medication monitoring system of claim 3, further comprising an import data component having a DTS function of SQL SERVER;

the import data component is used to periodically extract relevant data from the HIS database.

5. The rational medication monitoring system of claim 3, wherein the programming interface comprises ADTECHCORE, ADTECH Express, and ADTECH Name Server;

the ADTECH Express is used for calling an ADTECH Core and an ADTECH Name Server and analyzing and processing the results returned by the ADTECH Core and the ADTECH Name Server;

the DTECH Core is used for accessing and processing data in the database through an ADO data access engine contained in the DTECH Core so as to complete Core operation of monitoring and query and obtain a result;

the ADTECH Name Server is used for completing the dynamic assignment of ADTECH Express calling ADTECH Core according to the load condition of the ADTECH Core.

6. The rational medication monitoring system of claim 3, wherein said prescription/order medication monitoring function employs Microsoft's COM and DCOM technologies.

7. The rational medication monitoring system of claim 3, wherein said prescription/medication monitoring function module generates different pre-alarm information based on drug interactions, compatibility of injected drugs, drug allergy history, pediatric drug, geriatric drug, specific pathophysiological condition drug, drug overdose, route of administration, homogeneous & homogeneous drug review to prevent the impact of drug drugs on the health of the patient to be examined.

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